NGN NURSING Med surg HESI exit exam latest 2024 test b
g g g g g g g g g gg
ank with rationales complete Rated A+
g g g g g
Thegmothergofgangadolescentgtellsgthegclinicgnurse,g"Mygsonghasgathlete'sgfoot,gIgha
vegbeengapplyinggtriplegantibioticgointmentgforgtwogdays,gbutgthereghasgbeengnogimp
rovement."gWhatginstructiongshouldgthegnursegprovide?
(ANS-
gStopgusinggthegointmentgandgencouragegcompletegdryinggofgthegfeetgandgwearinggcl
eangsocks.
Ag26-year-
oldgfemalegclientgisgadmittedgtogtheghospitalgforgtreatmentgofgagsimpleggoiter,gandgle
vothyroxinegsodiumg(Synthroid)gisgprescribed.gWhichgsymptomsgindicategtogthegnu
rsegthatgthegprescribedgdosagegisgtooghighgforgthisgclient?gThegclientgexperiences
Bradycardiagandgconstipation
gLethargygandglackgofgappetit
e
Musclegcrampinggandgdry,gflushedgskingPal
pitationsgandgshortnessgofgbreath
(ANS-gPalpitationsgandgshortnessgofgbreath
Agclientgwithgaghistorygofgheartgfailuregpresentsgtogthegclinicgwithgnausea,gvomiting,g
yellowgvisiongandgpalpitations.gWhichgfindinggisgmostgimportantgforgthegnursegtogas
sessgtogthegclient?
(ANS-gObtaingaglistgofgmedicationsgtakengforgcardiacghistory
TheghealthcaregprovidergprescribesgangIVgsolutiongofgisoproterenolg(Isuprel)g1gmg
ging250gmlgofgD5Wgatg300gmcg/hour.gThegnursegshouldgprogramgtheginfusiongpum
pgtogdeliverghowgmanygml/hour?g(Entergnumericgvaluegonly.)
(ANS-g75
Rationale:gConvertgmggtogmcggandgusegthegformulagD/HgxgQ.g300gmcg/hourg/g1,000
NGN NURSING Med surg HESI exit exam latest 2024 test b
g g g g g g g g g gg
,ank with rationales complete Rated A+
g g g g g
,mcggxg250gmlg=g3/1gxg25g=g75gml/hour
Thegpathophysiologicalgmechanismsgthatgaregresponsiblegforgascitesgrelatedgtogliver
gfailure?g(Selectgallgthatgapply)
(ANS-
gFluidgshiftsgfromgintravasculargtoginterstitialgareagduegtogdecreasedgserumgprotein
Increasedghydrostaticgpressuregingportalgcirculationgincreasesgfluidgshiftsgintogabdo
men
Increasedgcirculatinggaldosteroneglevelsgthatgincreasegsodiumgandgwatergretention
Thegnursegisgauscultatinggagclient'sgheartgsounds.gWhichgdescriptiongshouldgthe
gnursegusegtogdocumentgthisgsound?g(Pleaseglistengtogthegaudiogfirstgtogselectgth
egoptiongthatgapplies)
(ANS-gMurmur
Rationale:gAgmurmurgisgauscultatedgasgagswishinggsoundgthatgisgassociatedgwithgthe
gbloodgturbulencegcreatedgbygthegheartgorgvalvulargdefect.
Theghealthcaregprovidergprescribesgceltazidimeg(Fortax)g35gmggeveryg8ghoursgIMgf
organginfant.gTheg500gmggvialgisglabeledgwithgtheginstructiongtogaddg5.3gmlgdiluentgt
ogprovidegagconcentrationgofg100gmg/ml.gHowgmanygmlgshouldgthegnursegadminist
eredgforgeachgdose?g(Entergnumericgvaluegonly.gIfgroundinggisgrequired,groundgtogth
egnearestgtenth)
(ANS-g0.4
ationale:g35mg/100mggxg1g=g0.35g=g0.4gml
Thegnursegnotesgthatgagclientghasgbeengreceivingghydromorphoneg(Dilaudid)geverygs
ixghoursgforgfourgdays.gWhatgassessmentgisgmostgimportantgforgthegnursegtogcomple
te?
Auscultategthegclient'sgbowelgsoundsgObser
vegforgedemagaroundgtheganklesgMeasuregth
egclient'sgcapillarygglucoseglevel
Countgthegapicalgandgradialgpulsesgsimultaneously
g(ANS-gAuscultategthegclient'sgbowelgsounds
NGN NURSING Med surg HESI exit exam latest 2024 test b
g g g g g g g g g gg
ank with rationales complete Rated A+
g g g g g
, Rationale:ghydromorphonegisgagpotentgopioidganalgesicgthatgslowsgperistalsisgandgfr
equentlygcausesgconstipation,gsogitgisgmostgimportantgtogAuscultategthegclient'sgbow
elgsounds
Agfemalegclientgisgadmittedgwithgendgstagegpulmonarygdiseasegisgalert,goriented,gand
gcomplaininggofgshortnessgofgbreath.gThegclientgtellsgthegnursegthatgshegwantsg"nogh
eroicgmeasures"gtakengifgshegstopsgbreathing,gandgshegasksgthegnursegtogdocumentgt
hisginghergmedicalgrecord.gWhatgactiongshouldgthegnursegimplement?
(ANS-gAskgthegclientgtogdiscussg"dognotgresuscitate"gwithgherghealthcaregprovider
Agclientgisgreceivinggagfullgstrengthgcontinuousgenteralgtubegfeedinggatg50gml/hourga
ndghasgdevelopedgdiarrhea.gThegclientghasgagnewgprescriptiongtogchangegthegfeedin
ggtoghalfgstrength.gWhatginterventiongshouldgthegnursegimplement?
(ANS-
gAddgequalgamountsgofgwatergandgfeedinggtogagfeedinggbaggandginfusegatg50ml/hour
Agfemalegclientgreportsgthatgherghairgisgbecominggcoarsegandgbreakinggoff,gthatgtheg
outergpartgofghergeyebrowsghavegdisappeared,gandgthatghergeyesgaregallgpuffy.gWhich
gfollow-upgquestiongisgbestgforgthegnursegtogask?
(ANS-gHavegyougnoticedganygchangesgingyourgfingernails?
Rationale:gThegpatterngofgreportedgmanifestationsgisgsuggestivegofghypothyroidism
Followinggdischargegteaching,gagmalegclientgwithgduodenalgulcergtellsgthegnursegtheg
hegwillgdrinkgplentygofgdairygproducts,gsuchgasgmilk,gtoghelpgcoatgandgprotectghisgul
cer.gWhatgisgthegbestgfollow-upgactiongbygthegnurse?
(ANS-
gReviewgwithgthegclientgthegneedgtogavoidgfoodsgthatgaregrichgingmilkgandgcream
Agmalegclientgwithghypertension,gwhogreceivedgnewgantihypertensivegprescriptionsg
atghisglastgvisitgreturnsgtogthegclinicgtwogweeksglatergtogevaluateghisgbloodgpressureg(
BP).gHisgBPgisg158/106gandghegadmitsgthatgheghasgnotgbeengtakinggthegprescribedg
medicationgbecausegthegdrugsgmakeghimg"feelgbad".gIngexplaininggthegneedgforghyp
ertensiongcontrol,gthegnursegshouldgstressgthatgangelevatedgBPgplacesgthegclientgatgri
skgforgwhichgpathophysiologicalgcondition?
(ANS-gStrokegsecondarygtoghemorrhage
NGN NURSING Med surg HESI exit exam latest 2024 test b
g g g g g g g g g gg
ank with rationales complete Rated A+
g g g g g
g g g g g g g g g gg
ank with rationales complete Rated A+
g g g g g
Thegmothergofgangadolescentgtellsgthegclinicgnurse,g"Mygsonghasgathlete'sgfoot,gIgha
vegbeengapplyinggtriplegantibioticgointmentgforgtwogdays,gbutgthereghasgbeengnogimp
rovement."gWhatginstructiongshouldgthegnursegprovide?
(ANS-
gStopgusinggthegointmentgandgencouragegcompletegdryinggofgthegfeetgandgwearinggcl
eangsocks.
Ag26-year-
oldgfemalegclientgisgadmittedgtogtheghospitalgforgtreatmentgofgagsimpleggoiter,gandgle
vothyroxinegsodiumg(Synthroid)gisgprescribed.gWhichgsymptomsgindicategtogthegnu
rsegthatgthegprescribedgdosagegisgtooghighgforgthisgclient?gThegclientgexperiences
Bradycardiagandgconstipation
gLethargygandglackgofgappetit
e
Musclegcrampinggandgdry,gflushedgskingPal
pitationsgandgshortnessgofgbreath
(ANS-gPalpitationsgandgshortnessgofgbreath
Agclientgwithgaghistorygofgheartgfailuregpresentsgtogthegclinicgwithgnausea,gvomiting,g
yellowgvisiongandgpalpitations.gWhichgfindinggisgmostgimportantgforgthegnursegtogas
sessgtogthegclient?
(ANS-gObtaingaglistgofgmedicationsgtakengforgcardiacghistory
TheghealthcaregprovidergprescribesgangIVgsolutiongofgisoproterenolg(Isuprel)g1gmg
ging250gmlgofgD5Wgatg300gmcg/hour.gThegnursegshouldgprogramgtheginfusiongpum
pgtogdeliverghowgmanygml/hour?g(Entergnumericgvaluegonly.)
(ANS-g75
Rationale:gConvertgmggtogmcggandgusegthegformulagD/HgxgQ.g300gmcg/hourg/g1,000
NGN NURSING Med surg HESI exit exam latest 2024 test b
g g g g g g g g g gg
,ank with rationales complete Rated A+
g g g g g
,mcggxg250gmlg=g3/1gxg25g=g75gml/hour
Thegpathophysiologicalgmechanismsgthatgaregresponsiblegforgascitesgrelatedgtogliver
gfailure?g(Selectgallgthatgapply)
(ANS-
gFluidgshiftsgfromgintravasculargtoginterstitialgareagduegtogdecreasedgserumgprotein
Increasedghydrostaticgpressuregingportalgcirculationgincreasesgfluidgshiftsgintogabdo
men
Increasedgcirculatinggaldosteroneglevelsgthatgincreasegsodiumgandgwatergretention
Thegnursegisgauscultatinggagclient'sgheartgsounds.gWhichgdescriptiongshouldgthe
gnursegusegtogdocumentgthisgsound?g(Pleaseglistengtogthegaudiogfirstgtogselectgth
egoptiongthatgapplies)
(ANS-gMurmur
Rationale:gAgmurmurgisgauscultatedgasgagswishinggsoundgthatgisgassociatedgwithgthe
gbloodgturbulencegcreatedgbygthegheartgorgvalvulargdefect.
Theghealthcaregprovidergprescribesgceltazidimeg(Fortax)g35gmggeveryg8ghoursgIMgf
organginfant.gTheg500gmggvialgisglabeledgwithgtheginstructiongtogaddg5.3gmlgdiluentgt
ogprovidegagconcentrationgofg100gmg/ml.gHowgmanygmlgshouldgthegnursegadminist
eredgforgeachgdose?g(Entergnumericgvaluegonly.gIfgroundinggisgrequired,groundgtogth
egnearestgtenth)
(ANS-g0.4
ationale:g35mg/100mggxg1g=g0.35g=g0.4gml
Thegnursegnotesgthatgagclientghasgbeengreceivingghydromorphoneg(Dilaudid)geverygs
ixghoursgforgfourgdays.gWhatgassessmentgisgmostgimportantgforgthegnursegtogcomple
te?
Auscultategthegclient'sgbowelgsoundsgObser
vegforgedemagaroundgtheganklesgMeasuregth
egclient'sgcapillarygglucoseglevel
Countgthegapicalgandgradialgpulsesgsimultaneously
g(ANS-gAuscultategthegclient'sgbowelgsounds
NGN NURSING Med surg HESI exit exam latest 2024 test b
g g g g g g g g g gg
ank with rationales complete Rated A+
g g g g g
, Rationale:ghydromorphonegisgagpotentgopioidganalgesicgthatgslowsgperistalsisgandgfr
equentlygcausesgconstipation,gsogitgisgmostgimportantgtogAuscultategthegclient'sgbow
elgsounds
Agfemalegclientgisgadmittedgwithgendgstagegpulmonarygdiseasegisgalert,goriented,gand
gcomplaininggofgshortnessgofgbreath.gThegclientgtellsgthegnursegthatgshegwantsg"nogh
eroicgmeasures"gtakengifgshegstopsgbreathing,gandgshegasksgthegnursegtogdocumentgt
hisginghergmedicalgrecord.gWhatgactiongshouldgthegnursegimplement?
(ANS-gAskgthegclientgtogdiscussg"dognotgresuscitate"gwithgherghealthcaregprovider
Agclientgisgreceivinggagfullgstrengthgcontinuousgenteralgtubegfeedinggatg50gml/hourga
ndghasgdevelopedgdiarrhea.gThegclientghasgagnewgprescriptiongtogchangegthegfeedin
ggtoghalfgstrength.gWhatginterventiongshouldgthegnursegimplement?
(ANS-
gAddgequalgamountsgofgwatergandgfeedinggtogagfeedinggbaggandginfusegatg50ml/hour
Agfemalegclientgreportsgthatgherghairgisgbecominggcoarsegandgbreakinggoff,gthatgtheg
outergpartgofghergeyebrowsghavegdisappeared,gandgthatghergeyesgaregallgpuffy.gWhich
gfollow-upgquestiongisgbestgforgthegnursegtogask?
(ANS-gHavegyougnoticedganygchangesgingyourgfingernails?
Rationale:gThegpatterngofgreportedgmanifestationsgisgsuggestivegofghypothyroidism
Followinggdischargegteaching,gagmalegclientgwithgduodenalgulcergtellsgthegnursegtheg
hegwillgdrinkgplentygofgdairygproducts,gsuchgasgmilk,gtoghelpgcoatgandgprotectghisgul
cer.gWhatgisgthegbestgfollow-upgactiongbygthegnurse?
(ANS-
gReviewgwithgthegclientgthegneedgtogavoidgfoodsgthatgaregrichgingmilkgandgcream
Agmalegclientgwithghypertension,gwhogreceivedgnewgantihypertensivegprescriptionsg
atghisglastgvisitgreturnsgtogthegclinicgtwogweeksglatergtogevaluateghisgbloodgpressureg(
BP).gHisgBPgisg158/106gandghegadmitsgthatgheghasgnotgbeengtakinggthegprescribedg
medicationgbecausegthegdrugsgmakeghimg"feelgbad".gIngexplaininggthegneedgforghyp
ertensiongcontrol,gthegnursegshouldgstressgthatgangelevatedgBPgplacesgthegclientgatgri
skgforgwhichgpathophysiologicalgcondition?
(ANS-gStrokegsecondarygtoghemorrhage
NGN NURSING Med surg HESI exit exam latest 2024 test b
g g g g g g g g g gg
ank with rationales complete Rated A+
g g g g g
